Provider Type Icon

GREGORY LEE ELLISON M.D. NPI 1669567434


NPI Information

NPI: 1669567434
Provider Name: GREGORY LEE ELLISON, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
2127 E BASELINE RD STE 104
TEMPE, AZ
ZIP 85283
Phone: (480) 897-7070
Get Directions

Gregory Lee Ellison, M.D. is a family medicine in Tempe, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Gregory Lee Ellison, M.D. NPI is 1669567434. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2127 E BASELINE RD STE 104
TEMPE, AZ
ZIP 85283-537
Phone: (480) 897-7070
Fax: (480) 897-2597

The enumeration date for this NPI number is 10/4/2006 and was last updated on 5/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMD12426ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1080055004OTHERARIZONARAILROAD MEDICARE
2AZ0006680OTHERBLUE CROSS BLUE SHIELD
3214510MEDICAIDARIZONA
4ZWDBMVMEDICARE ID-TYPE UNSPECIFIED
5C99429MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.